耳后复合组织游离移植在面部黑素细胞痣治疗中的应用  

The Application of Free Transplantation for Postauricular Complex Tissue to Repair Skin and Soft Tissue Defects after Facial Melanocyte Nevus Resection

作　　者：任盼 马富鑫 余震 王璇 方超 赵聪颖 REN Pan;MA Fu-xin;YU Zhen;WANG Xuan;FANG Chao;ZHAO Cong-ying(Department of Burn and Plastic Surgery,Tangdu Hospital,Air Force Military Medical University,Xi’an 710038,Shaanxi,China;School of Pharmacy Department of Pharmacology,Air Force Military Medical University,Xi’an 710032,Shaanxi,China)

机构地区：[1]空军军医大学唐都医院整形烧伤科,陕西西安710038 [2]空军军医大学药学系药理学教研室,陕西西安710032

出　　处：《中国美容医学》2021年第11期1-4,共4页Chinese Journal of Aesthetic Medicine

基　　金：国家自然科学基金项目(名称:死亡素逆转NDM-1耐药菌对碳青霉烯类抗生素耐药的分子机理研究,编号:81903671)。

摘　　要：目的:探讨耳后复合组织游离移植修复面部黑素细胞痣切除后皮肤软组织缺损的临床疗效。方法:2015年-2018年32例面部黑素细胞痣患者,鼻翼15例、上唇12例、鼻背5例,黑素痣大小6~15mm,用皮肤活检器环形完整切除后,依据创面大小与深度切取耳后复合组织皮瓣进行游离移植,术后依外观评价量表给予评价,评价指标有色泽、质地、瘢痕增生程度等,分值1~10分不等,并进行满意度调查。结果:32例患者复合组织皮瓣全部成活,术后1年随访,皮瓣色泽、质地与周围接近、无瘢痕增生,评分优,患者满意度90%以上。结论:采用耳后复合组织皮瓣游离移植,修复面部特殊部位黑素细胞痣切除后创面,手术操作简单、安全、术后满意度高,值得推广。Objective To investigate the clinical efficacy of free transplantation for postauricular complex tissue to repair skin and soft tissue defects after facial melanocyte nevus resection. Methods From 2015 to 2018, 32 cases with facial melanocyte nevus, 15 cases of nasal wing, 12 cases of upper lip, 5 cases of nasal dorsum, and the size of melanocyte nevus was 6-15 mm.After the skin biopsy was completely removed, the postauricular complex tissue was resected according to the size and depth of the wound for free transplantation, and the postoperative appearance evaluation table on the scale of 1-10 for color, texture,cicatrix, and the satisfaction survey was conducted. Results All the complex tissue flaps of 32 patients were survived. After 1 year follow-up, the color and texture of the flaps were close to the surrounding area, no cicatrix hyperplasia, and the evaluation was excellent. The patient satisfaction was 90%. Conclusion The free transplantation for postauricular complex tissue can be used to repair the wounds after the removal of melanocytes from the special facial parts. The operation is simple, safe and has high postoperative satisfaction. It’s worthy of popularizing.

关 键 词：黑素细胞痣 真皮下血管网 面部美容亚单位 复合组织 游离移植 

分 类 号：R622[医药卫生—整形外科]